1. Home
  2. Directory
  3. Colorado
  4. Fort Collins
  5. Specialist Technologist Other
  6. NPI Profile

JAKE RANDOLPH IOMT
NPI 1376885665
Specialist/Technologist, Other - Electroneurodiagnostic in Fort Collins, CO

Active since March 25, 2013
1300 OAKRIDGE DR, SUITE 130, FORT COLLINS, CO 80525(877) 377-9555 Get Directions Write a Review

NPPES record last updated: March 25, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jake Randolph Iomt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAKE RANDOLPH IOMT (NPI 1376885665) is an individual electroneurodiagnostic provider in Fort Collins, Colorado and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1376885665
Entity TypeIndividualMale
Primary Taxonomy246ZE0600X
Provider Legal NameJAKE RANDOLPHCredential: IOMT
Location Address1300 OAKRIDGE DR, SUITE 130Fort Collins, CO 80525-5564
Mailing Address1300 Oakridge Dr, Suite 130Fort Collins, CO 80525-5564 · (877) 377-9555
Phone(877) 377-9555
Sole ProprietorNo
Enumeration DateMarch 25, 2013
✔ NPI 1376885665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · ElectroneurodiagnosticTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZE0600X
1300 OAKRIDGE DR, Fort Collins, CO 80525
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES TRITCHLER IOMT
Specialist/Technologist, Other (Electroneurodiagnostic)
1300 OAKRIDGE DR, SUITE 130
FORT COLLINS, CO 80525
Larimer County (877) 377-9555
JOSHUA HAUMSCHILD IOMT
Specialist/Technologist, Other (Electroneurodiagnostic)
1300 OAKRIDGE DR, STE. 130
FORT COLLINS, CO 80525
Larimer County (877) 377-9555
DALLAS DEOGBURN IOMT
Specialist/Technologist, Other (Electroneurodiagnostic)
1300 OAKRIDGE DR, SUITE 130
FORT COLLINS, CO 80525
Larimer County (877) 377-9555
RUSSELL PIERCE IOMT
Specialist/Technologist, Other (Electroneurodiagnostic)
1300 OAKRIDGE DR, SUITE 130
FORT COLLINS, CO 80525
Larimer County (877) 377-9555
KERRY CULTICE
Specialist/Technologist, Other (Electroneurodiagnostic)
1300 OAKRIDGE DR, SUITE 130
FORT COLLINS, CO 80525
Larimer County (877) 377-9555
MARINA MOUL CNIM
Specialist/Technologist, Other (Electroneurodiagnostic)
1300 OAKRIDGE DR, SUITE 130
FORT COLLINS, CO 80525
Larimer County (877) 377-9555
STEVEN ASHLEY IOMT
Specialist/Technologist, Other (Electroneurodiagnostic)
1300 OAKRIDGE DR, SUITE 130
FORT COLLINS, CO 80525
Larimer County (877) 377-9555
BRUCE A. LOCKWOOD M.D.
Physical Medicine & Rehabilitation
1300 OAKRIDGE DR, SUITE 130
FT COLLINS, CO 80525
Larimer County (970) 377-9555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jake Randolph's NPI number?

The NPI number for Jake Randolph is 1376885665. It was assigned to this individual provider in the NPPES registry on March 25, 2013.

Where is Jake Randolph located?

Jake Randolph practices at 1300 Oakridge Dr Suite 130, Fort Collins, CO 80525. The listed phone number is (877) 377-9555.

What is Jake Randolph's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Electroneurodiagnostic, with taxonomy code 246ZE0600X.

When was this NPI record last updated?

The NPPES record for Jake Randolph was last updated on March 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.